Obsessive-compulsive disorder in fathers during pregnancy and postpartum

Coelho, Fábio Monteiro da Cunha; Silva, Ricardo A. da; Quevedo, Luciana de Ávila; Souza, Luciano D.M.; Pinheiro, Ricardo Tavares

doi:10.1590/1516-4446-2013-1312

Cited by 17 publications

(3 citation statements)

References 6 publications

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“…For paternal postpartum anxiety, rates have varied from 4.4% to 9.7% (Bradley et al, 2008; Matthey et al, 2003). In a recent prevalence study of Obsessive Compulsive Disorder in fathers, authors found a prevalence of 3.4% in the third trimester and 1.8% in the postpartum period (Coelho et al, 2014). Finally, a study about depression and bipolar disorder (Pinheiro et al, 2011) suggests that depressive episodes were significantly associated with manic/hypermanic episodes for fathers during pregnancy and up to 12 months postdelivery.…”

Section: Paternal Postpartum Depressionmentioning

confidence: 99%

Men’s perinatal mental health in the transition to fatherhood.

Singley

Edwards

2015

Professional Psychology: Research and Practice

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Section: Paternal Postpartum Depressionmentioning

confidence: 99%

Men’s perinatal mental health in the transition to fatherhood.

Singley

Edwards

2015

Professional Psychology: Research and Practice

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“…Due to the rare nature of male ppOCD, the prevalence remains uncertain. There exists one study aimed at detailing the epidemiology of male ppOCD, which demonstrated an approximately 5% prevalence in 726 fathers up to 60 days postpartum [ 12 ]. It should be noted that this study diagnosed OCD using the Mini-International Neuropsychiatric Interview, without the utilization of other tools to quantify symptom severity such as YBOCS or DOCS.…”

Section: Discussionmentioning

confidence: 99%

A Case of Postpartum Obsessive-Compulsive Disorder in a First-Time Father

Chen,

Schultz,

Hughes

2024

Cureus

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Obsessive-Compulsive Disorder (OCD) is a well-recognized psychiatric condition characterized by distressing obsessions and compulsions. While the perinatal period is a known trigger for OCD in women, less attention has been given to its occurrence in men, particularly new fathers. This case report examines the unique presentation of postpartum-onset OCD (ppOCD) in a first-time father. A 33-year-old father presented eight months after the birth of his first child with distressing intrusive thoughts related to harming his eight-month-old daughter. These thoughts were ego-dystonic, causing significant distress, and led to a rapid deterioration in his mental health. Intrusive thoughts included a desire to leave his daughter in a busy street and place her in a hot oven. The patient became severely depressed, experienced significant weight loss, and was unable to perform daily activities of living. He repeatedly denied any intent to act on these thoughts. Following a visit to the ED, the patient was admitted to a psychiatric facility and started on escitalopram and aripiprazole. Approximately one month post-discharge, the patient reported significant symptom improvement, and after two months, his symptoms were well-controlled. He was successfully tapered off aripiprazole due to remission of symptoms and adverse effects. This case report highlights the need for greater awareness and screening of ppOCD in both men and women during the perinatal period. Utilizing existing screening tools and well-established pharmacological treatments for OCD can significantly improve the recognition and management of this distressing disorder in fathers, ultimately improving their quality of life and that of their families. Further research is needed to better understand the prevalence and specific management of male ppOCD.

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“…A symptomatology that remains often overlooked in the postpartum period (63,64) and that is usually accompanied by marked avoidance behavior (65)(66)(67)(68), are postpartum obsessivecompulsive symptoms. Experiencing postpartum obsessivecompulsive symptoms is a highly prevalent phenomenon among both new mothers and fathers, with the vast majority of new parents reporting transient intrusive thoughts (69)(70)(71)(72)(73). Moreover, based on a recent large-scale longitudinal study from Canada, the weighted period prevalence for obsessivecompulsive disorder (DSM-5) in the first 9 months postpartum is estimated to be 16.9%, with a point prevalence peak of 8.7% at 8 weeks after delivery (74).…”

Section: Introductionmentioning

confidence: 99%

The impact of postpartum obsessive-compulsive symptoms on child development and the mediating role of the parent–child relationship: A prospective longitudinal study

et al. 2022

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BackgroundThe first 2 years of life are a particularly sensitive period for the parent–child relationship as well as a healthy, age-appropriate child development. Both have been shown to be linked to postpartum depressive and anxiety symptoms, while the role of obsessive-compulsive symptoms, which are also common, is still largely understudied. In addition, fathers have been neglected in this area of research. This study, which includes both mothers and fathers, aims to investigate the longitudinal associations between postpartum obsessive-compulsive symptoms and different domains of child development, as well as the mediating role of the parent–child relationship.MethodsData were drawn from the prospective longitudinal study DREAM, with 674 mothers and 442 fathers from the general population completing self-report questionnaires at four measurement points. Longitudinal associations between parental postpartum obsessive-compulsive symptoms 8 weeks postpartum, the parent–child relationship 14 months postpartum, and child development 24 months postpartum were investigated using regression and mediation analyses. A number of potential confounding variables were considered, i.e., age, academic degree, postpartum depressive and anxiety symptoms of the parents, preterm birth and temperament of the child, as well as COVID-19 pandemic-driven adversities.ResultsWhen adjusting for confounders, neither maternal nor paternal postpartum obsessive-compulsive symptoms had adverse effects on the respective parent–child relationship and child development. Further, no mediating role of the parent–child relationship between parental postpartum obsessive-compulsive symptoms and child development could be confirmed. Instead, we found that the mother– and father–child relationship were differentially related to specific child developmental domains. For mothers, a poorer mother–child relationship was prospectively related to poorer fine motor development. For fathers, a poorer father–child relationship prospectively predicted a poorer overall development as well as poorer gross motor, fine motor, problem-solving, and personal-social development.ConclusionOur results suggest that negative effects on the parent–child relationship and child development may only become apparent in full-blown postpartum obsessive-compulsive disorder. Given the differential impact on specific developmental domains, our findings also suggest that it is crucial to consider both parents in clinical practice as well as in future research, rather than focusing only on the mother–child dyad.

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Obsessive-compulsive disorder in fathers during pregnancy and postpartum

Cited by 17 publications

References 6 publications

Men’s perinatal mental health in the transition to fatherhood.

Men’s perinatal mental health in the transition to fatherhood.

A Case of Postpartum Obsessive-Compulsive Disorder in a First-Time Father

The impact of postpartum obsessive-compulsive symptoms on child development and the mediating role of the parent–child relationship: A prospective longitudinal study

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